HomeMy WebLinkAboutPermit Mechanical 2011-3-10
... . ....
,;.r . l'
,
sp~~.;~~
~r~('~EGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00381
IVR Number: 811152626740
ISSUED: 031,<<1 "'J::>S'
APPLIED: 03/10/2011
www.cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
In Review
03/10/2011
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769.
Fax: 541-726-3676
permitcenler@ci.springfield.or.us
EXPIRES:
VALUE:
09/06/2011
$0.00
SITE ADDRESS: 1540 MISSISSIPPI AVE. Eugene, OR 97403-2425
ASSESOR'S PARCEL NO: 1703344308500
SCOPE: Mechanical Only
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Reroute gas line
Phone Number:
OWNER:
ADDRESS:
WESTOVER RALPH C & DOROTHY
1530 MISSISSIPPI AVE
EUGENE OR 97403
Contractor Type
Mechanical Contractor
Contractor Name
OWNER'
CONTRACTOR INFORMATION ~
Lie Type
OWNER
BUILDING INFORMATION ~
# of Stories:
Height of Structure:
Type of Heal:
Water Type:
Range Type:
Hazmat:
# of Units:
o
# of Bedr\?oms:
Sprinkled Bu!lding:
Fire Alarms:
Energy Path:
Electrical Specialty Code Edition:
Springfield Fire Code Editio~:
Mechanical Specialty Code Edition:
Municipall Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Lic No
0000000
Lie Exp
08/12/2025
Phone
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load:
Site Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall: ATTENTION: Oregon law requires you to
Soils Report Requir"lbllow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copi.es of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
NOTICE: . .'d .
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Springfield Building Pennit
3/10/2011 1:38:48PM
Page 1 of 3
.-
'\
-,.
,
SP~N_~~
~,~
~.OREGON
www.ci.springfietd.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00381
IVR Number: 811152626740
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
In Review
ISSUED:
APPLIED: 03/10/2011
EXPIRES:
VALUE:
09/06/2011
$0.00
03/10/2011
SITE ADDRESS: 1540 MISSISSIPPI AVE, Eugene, OR 97403-2425
AssEsOR's PARCEL NO: 1703344308500
SCOPE: Mechanical Only
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Reroute gas line
Frontyard Setback:
Interior Setback:
sideyard Setback:
Rearyard Setback:
Solar Setback:
DEVELOPMENT INFORMATION ~
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descriotion
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
~
Descriotion Amount Paid Date Paid Reciot #
~~.~! O!e~~urc;har!!.eJ!..2% of applicable fee~)_ ___ ______ .!~~_._~.0/2011 _ __~~44
State of Oregon Surch".rge (12% of aJ'plica_bl~f~es) $8.64 __._ _._ _ ___03/10!22,11_ _ 2011000444
:!:~ch~o!ogy f-"-"J5_%~.E,:,_~it tOl"I)_ ____ __.___ _ ~~60 03/10/2011 n _ __ _ 20..1.1 00~4~4
First Appliance Fee $79.00 03/10/2011 _.___l~444
Technology fee (5% of permit total) $0.35 03/10/2011 2011000444
Total Amount Paid $92.43
Springfield Building Permit
3f10f2011 1:38:48PM
Page 2 of 3
/".
{. '
'-
'1,
SP~.I.N.G.FIE. ~
'.';-
~;4.~
j,!J'. -~ OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00381
IVR Number: 811152626740
www.ci.springfield.or.us
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
In Review
permitcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
03/10/2011
ISSUED:
APPLIED: 03/10/2011
EXPIRES:
VALUE:
09/06/2011
$0.00
SITE ADDRESS: 1540 MISSISSIPPI AVE, Eugene, OR 97403-2425
ASSESOR'S PARCEL NO: 1703344308500
SCOPE: Mechanical Only
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Reroute gas line
Plan Review
,
Deoartment
Application Acceptance
Received Due Date
03/10/2011 03/10/2011
Comoleted
03/10/2011
Result
Over the Counter
MeChanical Review -: "",,,",,' 03/10/201l~,03/10/20'll,',,03110/2611 '~ "iN,,1 Required:' -,..... .
~':~~~~~ents: '::,f9vei~e:_~~~~t~~,per;{fi,~._~._-- ~ft:;;.:~:~~;._~:~ "-i:t::~v--' .-~~v -- -.-~~<:~:;- ~;-- - . - ,"
Initial Review 03/10/2011 03/10/2011 03/10/2011 Over the Counter
. Comments: Over the counter permit
Reviewer
David Bowlsby
:::.:Da.v!d-B9X"~sby;~',:~~>~~~' <.
""~:_ 1-~5i"", -:-'-. ' ';~...;',4:,--
,c..:,,~.-,;'.'
~
David Bowlsby
INSPECTIONS REQUIRED ~
Inspections
2310 Rough Gas
Rough Gas: After line is installed and required testing and capped if not attached to
an appliance.
Final Gas: When all gas work is complete.
2995 Final Gas
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further ce'rtify that any and all work performed shall be done in accordance with the
Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree
to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the
permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during
construction.
Y/t'//r
ale /
Springfield Building Permit
3/10/2011 1:3B:4BPM
Page 3 of 3
M~chanical Permit Application
j.- ....<f- {~-E~ "~ ''l'''''~' - 'F.......: ..;':';-<1:: '.t:~'ljy?,f;;'.'{~,:::',",~::"'J.,
,CITY:,OF.:SPRIN(;F:IELD;'O~REG()N~ .
" _ _- =- 0;- ~ ~,.. ._~ .. - """-..."""~ . -= '" - '.....::. - ,
225 Fifth Street. Springfield, OR 97477 . PH(541)726.3753 . FAX(541)726.3689
SPRINGFIELD ~
~~~
~'~'. 6!.
~.. ."
".~i'~ .'.,..... c:, ""'-,"~,J'."~ ......,.' ,'_", ':.-.",~"" ,'-,
:,,-':DEPARTMENTUSE ONLY. :":,,,,
;. ,,' _~,., . ',.' .,-' ""~_' ~'~." . I};."
p~i~f.NI 38/
Date:
This permit is issued under OAR 918-440-0050, Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
"~;:{~'<CATEGORY2';OF;.'CONStRUCtION'>"'.:'... ."
.01Zesidential D Government D Commercial
i~,',rrrjT JoEi\~jJiE'ji N'f:9.RM~'t19N~ 'ANb;\E()~A.'tj6N\1:~~"(;F;
Jobsiteaddress:/SLtC 1!5/.ss./f', I E
City: !' State: ()Q... ZIP: ''71{ 0,:$
Reference: 703 J 41.( ':! Taxlot.:OBSO(:)
DESCRIPTio~(OF WORK
if! ~ t./Nr
~~:~~~~~~ltp.~Q~ER.fY~ll9WJ.ii;:i=t~~1t~~~W~C~~i
Name:.oo"eO T pi- 9' W&.:5/ o,vc: A2-
Address:lS.3o /Y)/6'5/6:::Jpo'p/ h/U5".
CityC aGc:'^-' E StateO.c? Z1P9:?-463
Phon<:::l'L-? - 'h9.
E-mai~
This installation is being made on property owned by me or a
member of my/immediate family" and~Jx~'W;, fr91' licensing
requiremento/?ndeLO' 1!1i9~ L/
'gnaturelY"
1'i't.)"'"w';lt';;'C'O"N:r,RA.. C'O. '..R'IN'Srk""A'TIONftt'!i,,;&,/ &iiJ(ii<,,;..
t>::."...,'~If':-:;l~~';P."'...__. ,:1; __ __.,____ ~ __.__.:..._ _L:;~__'-i_'_ .._,.!<'~_. f,,-.' ...'~"~",:,__
Business name:
Address:
City:
Phone:
E-mail:
CCB license no.:
Print name:
ZIP:
Signature:
440.2545.J (11/08/COM)
..' FEE SCHEDUl.E
0,' "~:'. .' ',:1.:". : :-"i;.".;,;.iu~,~,,~,,''''''''"''';'-.\l:'' , ~:: c.~~t-'/ ".:rotal .
hB.es~den~I~I'f1!:~' ....~'{:'K..I' ~.I;" .~,,'i.l.:::;J~k; { ,~ty, ~. ,}~',cost::;;c'
"',, ,..,., ,. ~." ,.' . .." _."<.' '.' ,.f:h. -~ t!;.{.':ea;?..'>
First Appliance $79.00 $
furnace/burner including ducts and vents
Up to lOOk BTUlhr. $17.00 $
Over lOOk BTU/hr. $20.00 $
Heaters/stoves/vents
Unit heater $17.00 $
Wood/pellet/gas stove/flue , $38.00 $
Repair/alter/add to heating appliance!
refrigeration unit or cooling system! $58.00 $
absorption system
Evaporated cooler $13,00 $
Vent fan with one duct/appliance vent $9.00 $
Hood with, exhaust and duct $13.00 $
Floor furnace. including vent $58.00 $
Cas piping /
One to four outlets I $7,00 $
Additional outlets (each) $4.00 $
Air-handling units, including ducts
Up to 10,000 CFM I I $11.00 $
Over 10,000 CFM I I $20,00 $
ComDressor/absorotion svstem/heat oumn
Up to 3 hpll OOk BTU $17.00 $
Up to 15 hp/500k BTU $29.00 $
Up to 30 hpll ,000 BTU $43,00 $
Up to 56 hpll, 750 BTU $57.00 $
Over 50 hpll ,750 BTU $95.00 $
Incinerators
Domestic incinerator I I $20.00 $
- ComrtiercIa J~~;.;1':q~'~+~:~5~/(:;_f>;,?~~f:';;;:~}\ ~':<I:~:r.~~ ':f~~F;;;~~"i-~" ':t~
Enter total valuation of mechanical system
and installation costs $
Enter fee based on valuation of mechanical system, etc. $
i'Nr'~t. <k(lir~if.1li Jt,~~l1<1t~f-e"_":;:jO;~,,'1.i''" ,,0:..;,'.I\1'i\:;~:I~j,,';~}"\'; ~ -~ Costi"~Hi :.'\ TotaL.'!j
,:; Isee ~neous!; ees",J~~.~~J,*(f'1 f't.~I~~ms _,,?, "".~-Wf" "ro.'cosn';';
'1-.~. 'l . .".,....~"..1<' "<':'<',""",..-.>-;.~" ",:. ,.;"t-"-'"N"#..;> '.<".,',' ., ea.i;!:,<.' .
Reinspection $58.00 $
Specially requested inspections (per hr.) $58.00 $
Regulated equipment (unclassed) $13.00' $
Each additional inspection: (I) $58.00 $
!!r4f~lr!i.l!:~~~'i~YA",p,i.::lcANfr:;;l.JSE.f{~~~m;i!~ig;-ilil1lf.)f~:
(A) Enter subtotal ofa (or enter set 7~
minimum feero9.001.--/ $
(B) Investigative fee (equal to [All $
(C) Enter 12% surcharge (.12 x [A+BJ) $ "j'10
(D) Seismic fee. 1%(.01 x [All $
(E) Technology Fee (5% of [All $ 3'/",)
TOTAL fees and surcharges (A through E): $97 t(f
,-
(.(.:. >
.~
SP:.:\N...G~E~
.\,~~
" ,"'?" OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.us
811-SPR2011-00381
1540 MISSISSIPPI AVE
permitcenter@ci.springfield.or.us
";~ ~.- ~':. .~:..~.;!
,-,: ,
"ACCQUNLCODE
224-00000-425604
821-00000-215004
1 00-00000-425605
TOTAL DUE:
DATE: 0311012011
'LJ AMOUNT_DUE.
79.00
9A8
3.95
92.43
AMOUNT PAID
92.43
I
RECEIPT NO: 2011000444
lDESCRIR.TION -2, _ I. T -.
First Appliance Fee
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
RECORD NO: 811-SPR2011-00381
l-'~~YMENT TYf.El;.:_-'~~YOR .. CAS;""'R:DBOWtSBY
Credit Card edward styles
460474
-. :ccif!1_M.~~ts,:
":s-
TOTAL PAID:
92.43